Now that you’ve heard my long story, here are things that I find helpful in managing my sesamoid fracture. It takes work every day, but being able to dance is SO worth it! This is just what works for me in consultation with my doctor, and anyone experiencing pain should see a doctor for help!
-Padding: Sesamoid pads or dancer’s pads are designed to redistribute weight off of your sesamoids. I wear Dr. Jill’s pads at all times when dancing: https://www.amazon.com/dp/B00E1VTR30/ref=cm_sw_r_cp_dp_T2_pjvszbWTAB526. I find the cut-out to be small, so I cut them for my own best fit, and I’ve been wearing them on both feet while dancing to hopefully help prevent also injuring my right foot. Dr. Jill’s are great because they’re reusable. I just wash them with regular unscented hand soap after each wear. I also wear pads in my regular shoes every day. I live in NYC and walk quite a bit, so I find this helps me avoid inflaming my sesamoid while just going about my day. Dr. Jill’s work for everyday use, too, but if I need something stickier or more low profile I use these single-use pads also: https://www.amazon.com/dp/B0015TEVXC/ref=cm_sw_r_cp_dp_T2_WjvszbE8VWTMB.
-Shoes: Changing my footwear has been absolutely crucial in managing this injury. It sucked to have to spend lots of money on new shoes and give up some favorites that weren’t good for my feet, but so worth it in the long run. I look for shoes that keep me up off the ground, are cushy, and promote a natural “rock”/“roll” through the ball of your foot/toes. Arch support also helps a LOT. I have a few pairs of Danskos that have been lifesavers, a pair of Alegria boots, and a pair of slip on sneakers from Sofft that are great. I also recommend these insoles for sneakers, which have a red cushion under the sesamoids that can be removed to create a the effect of a dancer’s pad: https://www.amazon.com/dp/B00VQSGQOY/ref=cm_sw_r_cp_dp_T2_5kvszb6HHW4DT.
-Ice socks! Icing is very helpful to reduce inflammation, but it can be kind of awkward to get an ice pack to stay on the bottoms of your feet. These socks with ice packs in them are AMAZING: https://www.amazon.com/dp/B003L4WOKG/ref=cm_sw_r_cp_dp_T2_bkvszb7RDZ30P. Even if you don’t have sesamoid issues, I recommend them! Or you could probably easily do a DIY version using old socks and ice packs.
-Contrast baths: Also great for reducing inflammation after class. I just use my bath faucet and run my feet under hot water for 3 minutes, then cold for 1 minute and repeat that 3-4 times. I even made a playlist for it (3-4 minute song, followed by a 1 minute song x4). The 1 minute part is a great opportunity to bust out the punk rock!
-Rolling: I find that it’s important to roll my feet out frequently. I like to use a lacrosse ball because it’s not too hard or too small a surface area to roll over my sesamoids, and it feels great on my arches. Don’t roll over your injured sesamoid with too much force, or at all, if you’re in pain! Listen to your body!
-Strengthening: This is still a work in progress for me, but I’ve been trying to focus on strengthening my ankles, feet, and shins (and really everything) so that my body is strong enough to properly absorb the impact that caused my fracture.
-Say NO to dancing on hard floors as much as possible: Irish dance is getting better about this and most schools use studios with proper sprung floors these days, but there are still situations where we have to dance in church halls, school gyms, concrete in parks, etc. I try to minimize this as much as possible, and make a plan for lots of recovery afterward.
-Journaling: I’m not perfect at this, but I try to keep notes about how my foot feels after every class/practice. This helps me actively monitor how things are feeling and what strategies worked for recovery. It also helps me stay on top of when I might be practicing too much. Like any stress fracture, this is an overuse injury, and it has forced me to be smarter about my practice and prioritize quality over quantity. I know there’s a cost to any time I spend subjecting my feet to impact, so I try to make the best possible use of that time. There’s lots you can do to improve your dancing without putting any impact on your sesamoids! Keeping a practice journal is also helpful for venting and processing your ~*feelings*~, which chronic injuries tend to provoke!
I hope this is helpful! Sending all good vibes to the other dancers out there managing/recovering from injuries! I think it’s so important to talk about this stuff and hopefully help prevent it from happening to others! Knowledge is power!